| NPI | 1730532508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE MICHAEL HILKA Chief Executive Officer 712-226-7146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A143916) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2018-10-12 |